Cancer do hi thil awlsam a ni lo. Enkawl lai hian tlem chuan i buai deuh mai thei a, fog-a awm ang maiin, fog-a awm ang maiin i awm thei bawk. Hetiang hian i awm a nih chuan nangmah chauh i ni lo. Damdawi lamah chuan he natna hi ‘chemo thluak’ kan ti a. He hming i hriat hian chemotherapy la mekte chungah chauh a thleng niin i ngai mai thei a, mahse cancer enkawlna dang vang pawh a ni thei bawk.
Thu lawmawm tak chu mi tam zawk tan chuan enkawl zawh hnuah heng natna lanchhuahna te hi a bo zauh zauh thin. Chuvangin he thu hi chipchiar deuhin han sawi ila.
‘Chemo Brain’ hi eng nge ni tak tak?
A awlsam zawngin sawi ila, ‘chemo thluak’ tih hi i ngaihtuahna, hriatrengna, leh thutlukna siam thiamna te chu cancer enkawl hma ang khan a tha tawh lo ang tih i hriat hian a ni. I lu chu a vur ang maiin a lang. Doctor-te chuan hei hi ‘Chemotherapy-induced cognitive impairment’ an ti a. Cancer enkawlna avanga rilru lama harsatna a ni.
Hei hi nangmah chauha thil thleng niin i ngai mai thei. Mahse thudik tak chu, cancer vei zinga 70% leh 75% inkar chuan enkawlna an neih chhung emaw, an enkawl hnuah emaw hetiang harsatna hi an tawk thin. Mak tak maiin mi thenkhat tan chuan 25% leh 30% inkar ah hian heng symptoms te hi enkawlna tan hma pawhin a lang thei. Hei hi cancer chungchang zir avanga stress awm vang pawh a ni thei.
‘Chemo thluak’ chhinchhiahna tlanglawn tak takte chu engte nge ni?
Hetiang dinhmun hian i cognitive function (cognition) a nghawng ber a ni - chu chu i ngaihtuahna, i hriatreng dan leh i thutlukna siam dan a ni. Hetiang thil hi i tawng mai thei. Hei hi chiang taka hrethiam turin table- ah han en ila.
| Symptom a ni | Hei hian engtin nge i rilru a put tir? |
|---|---|
| Thumal zawn harsat | In inbiak lai chuan i sawi duh chu i theihnghilh nghal mai thin. Thil awlsam tak pawh ngaihtuah tur chuan hun a ngai a ni. |
| Thuziak pakhat hriatthiam harsa | Mi pakhatin a sawi lai chuan an thusawi chu ka hrethiam thei lo ang maiin ka hria. Inbiaknaah chuan ka bo ta vek mai. |
| Ngaihvenna a tlahniam | Thil pakhat chauh ngaihtuah rei lutuk chu a harsa khawp mai. Lehkhabu i chhiar emaw, TV i en emaw hian i rilru chu hmun dangah a kal thin. |
| Multitasking harsa tak a ni | Vawi khata thil pahnih tih i tum chuan, chaw siam laiin phone-a inbiakna ang chi hi chuan engkim a buai vek. |
| Rilru lama chau tawh anga inhriatna | Engmah ti lo mah ila ka lu chu a chau hlein ka hria. Ka thinlung chu a rit hlein ka hria. |
| Taksa a balance hloh (Clumsiness) . | I kuta thil awm reng reng leia tlak emaw, thil pakhat nena inhnawh emaw ang chi thil hi a thleng fo thei. |
‘Chemo thluak’ hian i mizia a tidanglam thei em?
Ni e, zirchianna ṭhenkhatah chuan he dinhmun hian lungngaihna , thinrimna , leh mi lungngaihna awlsam tak a thlen thei tih an hmuchhuak. Tûn hmaa thil awlsam tak takte chu tunah chuan tih harsa a nih tawh chuan lungngaihna hi thil pangngai a ni. Hêng inthlâk danglamnate hi hriat chian chuan chutiang inthlâk danglamnate hmachhawn tûra ruahmanna siam tûrin a ṭanpui thei che a ni.
Engvangin nge he ‘chemo thluak’ hi a lo awm?
Hei hi chhan pakhat mah a awm lo. Thil hrang hrang inzawmkhawm a ni. Cancer ngei pawh, a enkawlna te, a enkawlna avanga a nghawng tha lo te, cancer i vei tih hriat avanga lungkhamna te hian hei hi a thlen vek a ni.
| ‘Chemo thluak’ awm chhan berte. | |
|---|---|
| Cancer enkawl dan tur | |
| |
| Enkawlna avanga natna dang leh side effects awm thei te | |
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Tute nge ‘chemo thluak’ vei theihna chance sang zawk?
Mi thenkhat chuan a hnuaia thilte avang hian he natna hi an vei theihna chance a sang deuh hlek a ni:
- Brain cancer emaw cancer dang thluaka darh tawh (metastatic brain tumors) i neih chuan.
- I thluak ah radiation treatment i dawng a nih chuan .
- Cancer i vei hmaa depression ang chi rilru lam natna i neih chuan.
- Nervous system nena inzawm natna dang i neih chuan (neurodegenerative disease).
- I genetics hian heng rilru lama inthlak danglamna chi hrang hrang hi a ti awlsam zawk che a nih chuan.
Engtin nge doctor-te hian he natna hi an hriat theih?
‘Chemo brain’ tih hriat theihna tur test bik a awm lo. Chu chu, "Hei hi chemo thluak a ni" tih chiang taka sawi thei test a awm lo tihna a ni.
A pawimawh ber chu i thil tawn hi a ni. I thil tawn mek inthlak danglamna chungchang i doctor nen zalen taka inbiakna neih hi natna hmuhchhuahna atana hmalakna hmasa ber leh pawimawh ber a ni.
Mahse i doctor chuan heng natna lan chhuahna chhan dang a awm leh awm loh a enfiah duh mai thei.Thisen test emaw thluak scan emaw ang chi thil hi a tha thei ang. Chuvângin, enkawl hma emaw, enkawl lai emaw, enkawl hnu emawa i ngaihtuahna emaw, hriatrengnaah emaw inthlâk danglamna i hmuh chuan i doctor hnênah hrilh ngei ang che.
Hemi atana enkawl dan leh damdawi te chu engte nge ni?
I natna lan chhuahna tihziaawmna tur leh he lu vur tla hi tihbo theihna tur enkawlna leh thiltih hrang hrang a awm. I doctor chuan i tana tha ber tur a rawn rawt ang che.
| Enkawlna/damdawi | Hei hi eng nge thleng? |
|---|---|
| Thil hriatna (cognitive rehabilitation) tihchakna (cognitive rehabilitation) a ni | I harsatna, hriatrengna leh ngaihvenna te kan hmuchhuak a, chu chu enkawl dan tur hmachhawn dan tur kan zirtir che a ni. |
| Movement therapy hmanga enkawlna | Yoga leh Tai Chi ang exercise te hian i rilru kha focus a, i taksa lam ngaihtuah turin a zirtir che a ni. |
| Cognitive behavioral therapy (CBT) hmanga tihdam theih a ni. | Hei hi mut theih lohna tan chuan a \angkai hle. Mut \ha neih hian hriatrengna a ti \ha bawk. |
| Ngaihtuahna siam\hatna therapy | Hei hian pawn lama, nature-a hun hman turin a fuih che a ni. Rilru hahdamna tha tak a ni. |
| Mindfulness hmanga stress tihziaawmna | Meditation leh mindfulness practice hian rilru fiahna a tipung a ni. |
Damdawi chi hrang hrang
I natna lan chhuah dan azirin i doctor chuan damdawi te chu:
- ADHD damdawi: Hengte hian ngaihvenna leh ngaihtuahna chakna a tipung thei a ni.
- Antidepressants: Hengte hian heng hriatna lama inthlak danglamna nena inzawm rilru lama harsatna awmte chu a thunun thei a ni.
- Anti-dementia damdawi: Hengte hi symptoms na tak tak a awm chuan hriatrengna tichak turin pek theih a ni.
‘Chemo thluak’ hi eng chen nge a daih?
Hei hi mi tam takin harsatna an neih a ni. Mi tam zawk tan chuan cancer enkawlna a zawh hnuah heng symptoms te hi a reh zauh zauh thin . Mahse, mi thenkhat tan chuan heng harsatna te hi thla tam tak chhung, kum tam tak chhung pawh a awm thei.
Enkawlna a zawh hnu rei takah pawh heng harsatnate hi i la nei a nih chuan i doctor nen sawiho rawh . Ani chuan i tanpui lehzual thei tur enkawlna a rawn rawt thei che a ni.
Hetiang dinhmun hi enkawl turin eng nge ka tih theih ang?
Cancer enkawl hnua taksa leh rilru lama dam leh tur chuan hun a duh a, chuvangin nangmah leh nangmah i chungah ngilnei takin awm rawh. Hêng thil awlsam tak tak, ṭanpui thei che hi han ti ve teh.
- Inhawng takin thu sawi rawh: I chhungte leh i thiante hnai tak takte hnenah hetiang harsatna hi i tawk tih hrilh rawh. Chuti a nih chuan an tan an hrethiam che a, an tanpui che a awlsam zawk ang.
- I ‘hun tha ber’ zawng rawh: Nitin hian i rilru a fiah ber hun a awm. Chu hunte chu hriat chian la, ngaihtuah la, chu hun chhûnga hna harsa tak takte chu ruahman rawh.
- I ni chu ruahman rawh: I ni i ṭan hmain i tih tur list ziak la. Hei hian thil theihnghilh lo turin a pui ang che a, stress a ti tlem bawk ang.
- Mut tam: Chauhna hian ‘chemo thluak’ a ti na zual thei a, chuvangin ni khatah darkar 7-8 vel mut that a pawimawh hle.
- Ngaihtuah rawh: Ni khata minute 10-15 chhung i thawk lam ngaihtuah hian rilru lama buaina a tihziaawm thei.
- Thluak hriselna atana tha ei tur: Thluak hriselna atana tha ei tum la, chu chu Omega-3 tamna sangha, hnah hring, thei leh nut te hi a ni. A tul chuan nutritionist thurawn la rawh.
- Exercise: Nitin exercise awlsam tak tak, kea kal emaw yoga emaw tih hian i rilru hriselna leh i rilru a tichak thei a ni.
- I thluak exercise la: I thluak chu puzzle emaw, crossword emaw, thil thar zir emaw hmangin zirtir rawh. Mahse nangmah ah pressure siam suh, heng thilte hi nuam ti takin ti rawh.
Cancer dona taksa natna nen khaikhin chuan he ‘chemo thluak’ hi i tan chuan thil tenawm tak angin a lang mai thei. Mahse i ngaihtuahna leh hriatreng thiamna hi i nunah a pawimawh hle. Chuvângin, chumi chungchâng sawi leh ṭanpuina dîl chu hlau ngai suh.
Take-Home Thuchah a ni
- ‘Chemo thluak’ hi cancer vei zingah a awm fo thin, a tak tak a ni. I tawn mek a nih chuan i suangtuah mai mai a ni lo.
- Hetiang dinhmun hi chemotherapy vang chauh a ni lo. Cancer enkawlna dang, radiation therapy leh hormone therapy te pawh a awm thei bawk.
- Mi tam zawk tan chuan heng symptoms te hi hun kal zelah a tlahniam zauh zauh a, enkawl zawh hnuah a pangngaiin a kir leh thin.
- I hriatrengnaah, i ngaihtuahnaah emaw, i ngaihtuahnaah emaw inthlâk danglamna i hmuh chuan, chu mi chungchâng chu i doctor hnênah sawipui ngei ang che.
- He natna hi enkawl dan tur leh a natna lan chhuah dan tihziaawmna tur hian nangmah ngeiin i tih theih tur enkawlna leh damdawi awlsam tak tak tam tak a awm.
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